100% Correct
Aspiration and respiratory obstruction - ANSWER Patients who
have had strokes in the past are more prone to _______ and
______ during anesthesia
2nd trimester - ANSWER Best trimester to perform oral surgery in
1st trimester - ANSWER What trimester has the greatest risk for
oral surgery?
Obesity - ANSWER 20% above ideal body weight
Overwight - ANSWER BMI 25-29 is considered
Obese - ANSWER BMI over 30 is considered
Morbidly obese - ANSWER BMI over 40 is considered
Obstructive sleep apnea (OSA) - ANSWER Cessation of air flow
for more than 10 seconds
2-3 - ANSWER Patients INR is often _____ when on Coumadin
3-4 days - ANSWER How long should a patient hold their
Coumadin prior to surgery?
Heparin - ANSWER Given IV only, immediate effect and wears
off rapidly. Given to patients on Coudmadin
Plavix, Aspirin, Ticlid - ANSWER Medications that interfere with
platelets developing "sticky" characteristics. Life cycle of these
drugs are 7-10 days
, Propofol, ketamine, versed, fentanyl - ANSWER 4 most common
drugs used together for balanced anesthesia
Analgesia - ANSWER Inability to feel pain - Fentanyl, ketamine
& local
Amnesia - ANSWER Loss of memory - Versed & valium
Versed, propofol, brevital & ketamine - ANSWER 4 drugs that can be
essential for a patient to be relaxed and immobile during procedure.
Hypnosis - ANSWER Loss of consciousness "put to sleep"-
Propofol & brevital
Anxiolytics - ANSWER Centers for emotion- Valium & versed
Dissociative anesthesia - ANSWER Isolated from the
environment "relay center"- Ketamine
Opioid receptors - ANSWER Calming/euphoric effects "pain
free"- Demerol & Fentanyl
Homeostasis/homeostatic state - ANSWER Depress respiration
and cause hypotension- minimal variation to respiration and
expiration
Pharmacokinetics - ANSWER Effects the body has on the drugs
Pharmacodynamics - ANSWER Effects the drug has on the
body
Intravenous - ANSWER Most common route of drug
administration
,Rapid redistribution - ANSWER Short-acting drugs wear off rapidly
because they are only attached to receptor sites for a short amount of time
before they move to other tissues like fat or muscle
Propofol - ANSWER Type of short-acting drug
Valium - ANSWER Type of long-acting drug
Intramuscular (IM) - ANSWER Unpredictable onset of drug effect
upon injection
Subcutaneous (SQ) - ANSWER Beneath the skin- emergency
use for Epinephrine
By mouth (PO) - ANSWER Delayed onset of drug absorption
1.7 mL / carpule - ANSWER How much Epinephrine is in 1
carpule of Lidocaine for a 1% solution
Minimal sedation - ANSWER Normal response to verbal stimulation with
airway reflexes, ventilation & cardiovascular function uneffected
(Anxiolysis) - Oral preop meds
Moderate sedation - ANSWER Response to verbal light tactile touch, no
airway compromise ("conscious sedation") - N2O or
EMLA
Deep sedation - ANSWER Cannot be easily aroused, purposeful
response to painful stimulation, airway assistance may be required,
ventilation may be inadequate, cardiovascular function is usually
maintained (analgesia)
Vitals, ambulation, N/V, pain, surgical bleeding - ANSWER What are the
5 things you evaluate for modified post-anesthesia discharge score? Total
score is 10 (Score of 9 or greater is considered fit for discharge)
Local, local with N2O or IV sedation, IV balanced anesthesia or inhalation
anesthesia - ANSWER What are the 4 categories of anesthesia?
, 30% - ANSWER What percentage of O2 is required when
administering N2O?
3-4 minutes - ANSWER How long should you administer O2
after turning off the N2O
15 minutes - ANSWER How long should you keep a patient in
the office after they have been on N2O
8 hours - ANSWER How long is it required to be NPO for IV
sedation?
15-20 mL/kg - ANSWER What is the recommended fluid volume
administration throughout an IV sedation?
Versed - ANSWER What drug is for relaxation & amnesia?
Fentanyl - ANSWER What drug is for analgesia?
Inhalation anesthetics - ANSWER _________ anesthetics are
potential triggers for malignant hypothermia
Propofol - ANSWER What drug is used quite often due to its antiemetic
effects, and does not predispose laryngospasms?
12 hours - ANSWER After opening a vial of Propofol, how long
do you have before it is no longer good to use?
Children - ANSWER What age group rapidly redistributes
Propofol and requires a 50% increase in dosage?
Older patients - ANSWER What age group has an increased
sensitivity to Propofol and requires the dosage to be reduced?